Outpatient Registered Nurse- RN

Fresenius Medical Care•Lockhart, TX

22h

About The Position

The Outpatient Registered Nurse (RN CAP 2) provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from RN CAP 1. As part of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient teaching, leadership, and quality improvement activities to support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The RN works under the direction of a Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care related to hemodialysis, including patient monitoring, education, medication administration, coordination of care, and response to emergencies. The RN may delegate appropriate tasks and, after meeting stated requirements, may oversee Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge. The role requires completion of CAP requirements to maintain or advance.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
For assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees and at least 3 months of chronic or acute hemodialysis experience as an RN.
Complete CAP requirements to maintain or advance.
Able to perform the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; may need to move equipment with assistance and lift chemical and water solutions.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
Assess and document the basic learning needs of patients and families and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administer prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensure laboratory specimens are correctly collected, processed, and shipped; reschedule missed or insufficient collections.
Identify expected outcomes and document and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
May oversee Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after meeting the specified training and experience requirements.
Perform other duties assigned by the Supervisor.